TIMOTHY GANG

AMITYVILLE, NY
NPI1790023802
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  25069-T)
Enumeration Date2013-01-24
Last Update Date2013-01-24
Business Address
-- TIMOTHY GANG
400 SUNRISE HWY CARONE HALL
AMITYVILLE, NY 11701-2508
Phone number: 631-608-5022
Mailing Address
-- TIMOTHY GANG
400 SUNRISE HWY CARONE HALL
AMITYVILLE, NY 11701-2508
Phone number: 631-608-5022
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